ANEMIA AT PREGNANCY

Tutik Harjianti
Div. of Hematology & Medical Oncology
Dept. of Internal Medicine, Medical Faculty
Hasanuddin University
 The Limit of Anemia at Pregnancy

Anemia
is a condition where the Hb < 10% under normal

The limit of anemia at a woman : Hb < 12 gr%

The limit of anemia at a pregnant woman : Hb < 10 gr %

Division of Hematology & Medical Oncology Dept. of Internal Medicine

 The limit of Anemia based on Trimester

Hb 12 gr% 11 gr% 10 gr%

Trimester I Trimester II Trimester III

Division of Hematology & Medical Oncology Dept. of Internal Medicine

 The caused of
Low Hb at a pregnant woman
The increase of body volume at a
pregnant woman (The adding of blood cell
is not equal to the adding of plasma)
Plasma 30%, Blood Cell 18%, & Hb 19%.
This matter gain profit:
- decrease the resistance of perifer
- less the lost of iron at delivery
(at the bleeding process)

Division of Hematology & Medical Oncology Dept. of Internal Medicine

The Influence of Anemia at Pregnancy

1.Abortus
2.Premature
3.Old Partus because of inertia uteri
4.Bleeding of post partum ( atoni uteri )
5.Shock
6.Decompentation kordis

Division of Hematology & Medical Oncology Dept. of Internal Medicine

Kind of Anemia at Pregnancy

1 Deficiency iron Anemia

2 Megaloblastyc Anemia

3 Hipoplastyc Anemia

4 Hemolytic Anemia

Division of Hematology & Medical Oncology Dept. of Internal Medicine

 Deficiency Iron Anemia

The most happen

Caused: less of nutrition, re-absorption
disturbing, function disturbing, increase
at excretion.
Increase of need at Trmstr III
Every day necessity to a pregnant woman
in Indonesia: 17 mg/hr

Division of Hematology & Medical Oncology Dept. of Internal Medicine

 Exam to decide the diagnose
MCV, MCH, MCHC

Blood smear
morphology
A C
Reticulocyte
intensity

EXAMINATION

History taking based other lab based on

on the result of the E D the result of the
previews lab test previews lab test

Division of Hematology & Medical Oncology Dept. of Internal Medicine

 Management

Non medicamentosa
* Eat much & protein, mineral & vitamin
* Avoid drugs that influence hematopoisis
Medicamentosa
* Vitamin Fe, B12, folic acid, transfusion

Division of Hematology & Medical Oncology Dept. of Internal Medicine

 Contents

1 Click to add Title

2 Click to add Title

3 Click to add Title

4 Click to add Title

Division of Hematology & Medical Oncology Dept. of Internal Medicine

 Hot Tip

How do I incorporate my logo to a

slide that will apply to all the other
slides?

On the [View] menu, point to [Master],

and then click [Slide Master] or [Notes
Master]. Change images to the one you
like, then it will apply to all the other
slides.

Division of Hematology & Medical Oncology Dept. of Internal Medicine

 Diagram

Add your text

Add your text

Your
Slogan Add your text

here Add your text

Add your text

Division of Hematology & Medical Oncology Dept. of Internal Medicine

 Diagram

Title
Add your text

ThemeGallery ThemeGallery
is a Design Digital is a Design Digital
Content & Contents Content & Contents
mall developed by mall developed by
Guild Design Inc. Guild Design Inc.

Division of Hematology & Medical Oncology Dept. of Internal Medicine

 Cycle Diagram

Add Your Text

Text
Text

Text Cycle name

Text

Text

Division of Hematology & Medical Oncology Dept. of Internal Medicine

 Diagram

Text Text

Text Concept Text

Text Text

Add Your Text

Division of Hematology & Medical Oncology Dept. of Internal Medicine

 Diagram

Add Your Text

Add Your Text

Add Your Text

Add Your Text

Add Your Text

Add Your Text

Add Your Text

Add Your Text

Division of Hematology & Medical Oncology Dept. of Internal Medicine

 Diagram
Add Your Text

Add Your Text Add Your Text

Division of Hematology & Medical Oncology Dept. of Internal Medicine

 Diagram

Add Your Title

Add Your Title ThemeGallery is a

Design Digital
Add Your Title ThemeGallery is a Content &
Design Digital Contents mall
ThemeGallery is a Content & developed by
Design Digital Contents mall Guild Design Inc.
Content & developed by
Contents mall Guild Design Inc.
developed by
Guild Design Inc.

Division of Hematology & Medical Oncology Dept. of Internal Medicine

 Diagram

Text

Text

Text Add Your Title

Text

Division of Hematology & Medical Oncology Dept. of Internal Medicine

 Diagram

1 2 3
ThemeGallery is a ThemeGallery is a ThemeGallery is a
Design Digital Design Digital Design Digital
Content & Contents Content & Contents Content & Contents
mall developed by mall developed by mall developed by
Guild Design Inc. Guild Design Inc. Guild Design Inc.

Division of Hematology & Medical Oncology Dept. of Internal Medicine

 Diagram

2001 2002 2003 2004

Division of Hematology & Medical Oncology Dept. of Internal Medicine

 Progress Diagram

Phase 1 Phase 2 Phase 3

Division of Hematology & Medical Oncology Dept. of Internal Medicine

 Diagram

Company History 2004

2001
2004.01 Add Your Text
2004.03 Add Your Text
2003 2004.05 Add Your Text
2001.10 Add Your Text
2001.10 Add Your Text
2001.10 Add Your Text
2003.10 Add Your Text
2002 2003.10 Add Your Text
2003.10 Add Your Text

2002.10 Add Your Text

2002.10 Add Your Text
2002.10 Add Your Text

Division of Hematology & Medical Oncology Dept. of Internal Medicine

 Map

Division of Hematology & Medical Oncology Dept. of Internal Medicine

 3-D Pie Chart

Text2
Text3

Text1
Text4

Text5

Division of Hematology & Medical Oncology Dept. of Internal Medicine

 Block Diagram

Add Your Text

Add Your Text

concept Concept Concept Concept

Division of Hematology & Medical Oncology Dept. of Internal Medicine